• Child Health Nursing Research
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• 제26권3호
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• pp.385-392
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• 2020

Purpose: The number of Korean adolescents engaging in gambling is increasing, especially among out-of-school adolescents. This study aimed to identify patterns of gambling activities and factors related to specific subgroups of out-of-school adolescent gambling activities. Methods: This descriptive study analyzed secondary data from the 2015 Korea Youth Gambling Problem Survey, including 1,200 out-of-school adolescents. Latent class analysis was conducted to identify patterns of gambling activities. The factors related to gambling subgroups were verified with multinomial logistic regression. Results: Three latent classes of gambling activities were identified: rarely gambling (RG), immediate gain gambling (IGG), and broad gambling (BG). These subgroups differed significantly in terms of gender, age at and type of first gambling experience, number and type of gambling activities, gambling frequency, time and money spent on gambling, problem gambling severity, and motivation for gambling. Compared to the RG subgroup, both the IGG and BG subgroups were strongly associated with an older age at the first gambling experience. Conclusion: Out-of-school adolescents who first gambled at an older age and who gambled mainly in order to gain money immediately were at risk of problem gambling. Developing strategies for early screening and referral to professionals is necessary to prevent gambling problems from worsening.

• 한국학교보건학회지
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• 제31권2호
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• pp.79-87
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• 2018

Purpose: The purpose of this study was to investigate the relationship between the risk of school bullying victimization and the risk of Internet gaming disorder according to gender in adolescents. Methods: The data of 1,920 middle school students collected at the baseline of the Internet user Cohort for Unbiased Recognition of gaming disorder in Early Adolescence (iCURE) study were analyzed. For statistical analysis, $x^2$ test, t-test and stratified multiple logistic regression analysis were conducted using SAS 9.4. Results: The prevalence rate of Internet gaming disorder of middle school boys was greater than that of girls (Boys: 9.9%, Girls: 6.2%). The greater the risk of school bullying victimization, the greater both the risk of Internet gaming disorder and the average daily time spent on Internet gaming. In girls, the relationship between the experience of being bullied in school and Internet gaming disorder was not statistically significant. However, the boys who had been bullied in school were 3.2 times more vulnerable to the risk of Internet gaming disorder than those without such experience (95% CI: 1.135-8.779). Conclusions: When considering interventions for Internet gaming disorder for adolescents, bullying victimization should be taken into account as well. Particularly, relieving stress related to bullying victimization can be important for boys with Internet gaming disorder.

• Journal of Preventive Medicine and Public Health
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• 제46권4호
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• pp.173-182
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• 2013

Obesity during childhood is a dominant risk factor for noncommunicable diseases (NCDs), and is itself considered a disease that needs to be treated. Recently, the growth in childhood obesity in Korea has become stagnant; however, two in every ten children are still overweight. In addition, 60% or more of overweight children have at least one metabolic syndrome risk factor. Thus, childhood obesity should be controlled through lifestyle modification. This paper reviews studies of the modifiable risk factors of obesity in Korean children. According to the life-course approach, preschool-aged children (<5 years) are influenced by their parents rather than individual habits because they are under mostly parental care. Elementary school-aged children (6 to 11 years) are affected by overlapping individual and parental effects. This may mean that the establishment of individual behavior patterns begins during this period. The conditions of poor eating habits such as skipping meals, eating out, and high fat intake, along with low physical activity, facilitate increased obesity among adolescents (12 to 18 years). Notably, adolescent girls show high rates of both underweight and obesity, which may lead to the development of NCDs in their offspring. Therefore, the problem of NCDs is no longer limited to adults, but is also prevalent among children. In addition, early intervention offers cost-effective opportunities for preventing NCDs. Thus, children need primary consideration, adequate monitoring, diagnosis, and treatment to reduce the burden of NCDs later in adulthood.

• 보건의료산업학회지
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• 제7권1호
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• pp.155-165
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• 2013

This study aims to identify the significance of adolescent suicidal ideation in a multicultural family, propose suicidal prevention strategies, and provide considerable foundations supporting their secured future. The research results are in the follow. For the results of main factors of relative influence on the suicidal ideation, the relative dangerousness levels were 5.5 times more likely to experience with drugs, 4.5 times more likely to have depressive symptoms, 3.2 times more likely to experience violence at school, and 2.8 times more likely to experience drinking alcohol, 1.4 times more likely to feel unhappiness and 1.3 times more likely to be bad off in economic status, all of which contribute to suicidal ideation. All results turned out to be statistically significant. Therefore, the findings and results of this study indicate that appropriate and practical prevention strategies to address the suicidal behavior of adolescents in a multicultural family need to be carefully considered and designed in a most urgent manner.

• 한국학교보건학회지
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• 제32권2호
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• pp.125-134
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• 2019

Purpose: The purpose of this study was to investigate the effects of sedentary behavior on subjective health in Korean adolescents. Methods: This study is designed as a cross-sectional study. The study sample comprised of 60,040 middle and high school students primarily at the age of 12 to 17. Using data from the 14th (2018) Korea Youth Risk Behavior Web-based Survey, multiple logistic regression analysis was conducted. Results: The rate of engaging in sedentary behavior for less than 2 hours was 28.4% and for more than 4 hours was 28.2% in Korean adolescents. In the result from the logistic regression analysis, compared to engaging in sedentary behavior for 2 hours or less, the adjusted odds ratio was 1.15 for over 4 hours, with other factors controlled. Conclusion: It is necessary to actively develop and promote active leisure activities and limit excessive media exposure and supplementary learning for adolescents.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제28권1호
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• pp.31-37
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• 2017

Objectives: We examined the relationships between the body mass index, body weight perception, and depressed mood in a nationally representative sample of Korean adolescents. Methods: We analyzed the data from the 2013 Korean Youth Risk Behavior Web-based Survey and evaluated the relationships between the body mass index, body weight perception, and depressed mood by gender (36655 boys and 35780 girls). Results: For boys, a low body mass index and perceiving oneself as underweight were related to depressed mood. For girls, both low and high body mass indices were negatively related to depressed mood. In addition, self-perceptions of being underweight or overweight were positively related to depressed mood. Body weight perception was not a significant mediator in the relationship between body mass index and depressed mood. Conclusion: These results suggest that both body mass index and body weight perception significantly contribute to Korean adolescents' depressed mood. Thus, research and clinical attention needs to be given to underweight as well as overweight adolescents, because those who perceive their weight as not normal are at risk for depression.

• 재활간호학회지
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• 제14권2호
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• pp.145-152
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• 2011

Purpose: The study was to identify the influences of stress, social support and impulsiveness on the internet addiction of adolescents. Methods: A cross-sectional study was conducted with 243 male middle and high school students in D city. Data were collected from March to April in 2009 using self-report questionnaires such as internet addiction test, perceived stress, social support appraisal scale and Barratt impulsiveness scale. Data were analyzed using frequency, mean, Pearson's corelation coefficient, & hierarchial multiple regression. Results: The results showed that adolescents who had poor social support or higher stress and impulsiveness were more likely to have higher levels of internet addiction. The internet addiction was positively related to the stress and impulsiveness and negatively related to the social support. And education, record at school, stress, social support and impulsiveness had influence on the depression. Conclusion: Based on the findings, school nurses need to screen the risk of the internet addiction for adolescents who are in serious stress and have poor social support and impulsiveness. It is necessary to develop some preventive programs for those in high risk of internet addiction.

• 한국식생활문화학회지
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• 제39권3호
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• pp.127-137
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• 2024

This study examined dietary habits and mental health according to generalized anxiety disorders (GAD) and caffeine consumption in adolescents. The data were collected from the 18^th Korea Youth Risk Behavior Survey with a sample of 51,850 students. The proportion of students in the GAD High-Risk·Caffeine consumption group (GHRCC) who consumed sweet drinks (p< .001), fast food (p< .001), and midnight meals (p< .001) every day was 15.6, 21.9, and 22.4%, respectively. These proportions were higher than those of students who consumed sweet drinks, fast food, and midnight meals 1-2 times a week, 3-4 times a week, or not at all. In addition, the proportions of GHRCC among students who responded "yes" to experiencing sadness and despair (p< .001), suicidal thoughts (p< .001), suicide plans (p< .001), suicide attempts (p< .001), and loneliness (p< .001) were higher than students who responded "no." The GAD High-Risk group (GHR) had higher odds with the consumption of midnight meals (OR: 2.51, 95% CI: 2.10-2.99), caffeine consumption (OR: 2.46, 95% CI: 2.21-2.74), and fast food (OR: 2.11, 95% CI: 1.75-2.55) than GAD Low-Risk group. Based on the above results, the risk of GHR was higher among students who consumed midnight meals, caffeine, and fast food daily than those who did not.

• 수면정신생리
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• 제21권2호
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• pp.61-68
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• 2014

목 적 : 본 연구에서는 한국의 청소년을 대상으로 자살사고 고위험군의 비율과 청소년에서 자살사고와 관련된 예측인자에 대해서 조사해 보았다. 방 법 : 일 도시지역 중고등학생 3,691명(남자 2,159명, 여자 1,532명, 평균연령 $15.31{\pm}1.46$)을 대상으로 하였다. 대상자들은 사회인구학적 정보를 비롯한 학급성적, 신체적 혹은 정신 질환유무, 평일 평균수면시간, 평일과 주말 사교육시간, 주관적인 상담의 필요성, Beck 우울척도(Beck depression inventory, 이하 BDI), Reynolds 자살생각척도(Reynolds' suicide ideation questionnaire, 이하 SIQ)에 대한 자가보고식 설문지를 작성하였다. 결 과 : 전체 대상자 중 168명(4.6%)이 SIQ 62점 이상의 자살사고 고위험군으로 분류되었다. 다중로지스틱 회귀분석에서는 여성(p = 0.002), 더 어린나이(p < 0.001), 낮은 학교성적(p = 0.043), 높은 BDI 척도 점수(p < 0.001)가 자살사고 고위험군의 예측인자로 나타났다. 자살사고 고위험군에서는, 더 어린나이(p = 0.045)와 높은 BDI 점수(p < 0.001)가 높은 SIQ 점수와 연관된 것으로 나타났다. 결 론 : 본 연구 결과는 여성, 어린나이, 낮은 학교성적, 우울감이 청소년 자살사고의 고위험군의 예측인자였고, 특히 자살사고 고위험군 중에서는 어린나이와 우울감이 심한 청소년들에게 더 많은 관심을 기울여야함을 보여주었다. 따라서 청소년 자살을 예방하기 위해서는, 이러한 위험요인을 가지고 있는 청소년들에 대해 적극적인 관심과 개입이 필요할 것으로 생각된다.

• 대한간호학회지
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• 제38권3호
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• pp.465-473
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• 2008

Purpose: Suicide has been considered a large public health concern in recent years because suicide mortality has been increasing rapidly. This study was done to investigate the prevalence and risk factors of a suicide attempt among adolescents in South Korea. Methods: The data of the 2006 Youth Health Risk Behavior web-based Survey collected by the Korean Center for Disease Control was analyzed using logistic regression for this study. Results: The prevalence of a suicide attempt was 5.2% in South Korea. The risk factors of a suicide attempt were suicidal ideation (odds 31.83), depression (odds 7.98), drug use (odds 4.67), currently smoking (odds 3.19), feeling unhappiness (odds 2.77), stress (odds 2.60), currently drinking alcohol (odds 2.39), sexual activity (odds 2.33), living with neither parent (odds 2.24), initial alcohol drinking by age 9 (odds 1.80), health status (odds 2.15), skipped breakfast (odds 1.75), disease (odds 1.65), and school records (odds 1.22). Conclusion: Suicide screening and prevention programs should be developed, considering these risk factors. Suicide prevention programs should be applied to the at risk population prior to a suicide attempt.